NPI age
10 years
Enumerated 2016-01-15
● Active Type 2 · Organization
First Source Anesthesia, Llc
First Source Anesthesia, Llc is 1 of 2157 nurse anesthetist, certified registered organizations in Georgia.
Primary specialty
Nurse Anesthetist, Certified Registered
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Douberly
Member Manager
Last NPPES update
2020-08-14
Source: monthly bulk 2026-05
How this organization compares
Across 2157 active nurse anesthetist, certified registered providers in Georgia.
NPI age
10 years
↓ 5 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-01Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
577 Mulberry St Ste 110
MacOn, GA 312018220
Mailing address
Po Box 850001, Dept #249
Orlanda, FL 328850249
Additional practice locations
1 secondary location on file with NPPES.
Location 2
4080 McGinnis Ferry Rd, Suite 102
Alpharetta, GA 30005
Authorized official
Richard Douberly, CRNA
Member Manager
📞 8887280882
Specialties
-
Nurse Anesthetist, Certified Registered Primary(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
Practice context
Multi-site organization. 1 additional practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.